PenTips #184 - PenRad and PenTrac Quick Read Upgrade

The following includes additions and requests from our users. *Download this information by clicking on the “Download PenTip” at the bottom of the page. If you would like to learn more about the PenRad/PenTrac Upgrade, contact us today!

ADMINISTRATIVE REPORTS Updated administrative reports based help, and individual report help. Added restrictive administrative report system, allowing staff to access their own reports without master or special passwords. Expanded all reports with zone filter capabilities, allowing various combinations and overlapping facilities. Added “Right click” support providing direct access to patient record. Added automated report macros for what to Run Before MQSA Audit and running the MQSA Audit. Expanded available reports and added expanded filtering, sorting, and export capability.

BATCH PRINT SCREENS Added Right click on patient name to provide direct access to various sections of patient record. Added Fax/Email Log button to view faxes, and or emails. BI-RADS value column and preview of exam.

BONE DEXA Created report templates with DICOM import to automatically filter individual scans and use regions (L1-L4) for example. Created 8 different formatting templates. Expanded template logic to insert various findings and impression “trigger” statements based on values. Disease and Medications categories added and expanded Risk Factors selection.

HISTORY SHEET Added ability to exclude breast cancer risk calculations and number of years of prior exams printed.

HL7 INTERFACE Added capabilities where patient has multiple medical record numbers (due to consolidations), to match on MRN, alternate MRNs and DOB and by location code. Added capabilities to populate custom fields per customer requests, references to; BI-RADS value, next recall date, etc. in outbound message. Added option to AutoRoute from EMR’s pathology report to biopsy exam, pathology exam and autoreader, for review and incorporation. Added flexibility for multiple interfaces to send to different EMR with different formats. Added flexibility after 3 attempts with EMR to move to next message. Added ability to outbound message to strip prefixes on accession numbers.

PRE-EXAM ADDITIONS Updated PreExam screen to eliminate clicks. At a glance, all known information is visible. The center grid displays previous reports and events chronologically. To include comparisons (if not preselected via the autoselect compare option) click selector next to date. Above the grid, specialized compare phrase selectors are positioned. To access custom compare phrases, tap Comparison & Prior button (right). Selected items are then displayed within grid. To preview a report for PeerReview (indicated by PR, N/A not applicable, RE re-edit) tap the button next to report. To preview a report, tap on the report to view. Note the report appears in a separate float screen. Multiple reports can remain open during interpretation, just move to side. Float screen size and position reopen where closed last. Open float screens will close automatically when exam is approved or suspended. The Medical Risk History column (left) displays expanded patient info and risk values, and family breast cancer info. Tap Persist Risk View button to have clinical risk summary float screen visible during interpretation. Option is offered to create “red” and “yellow” alter values for set point values for Tyrer Cuzick and BCRA. Button array (right) is provided for selecting exam, and adds parallel function ability to old PreExam screen. With the AutoNext feature (tapping the AutoNext on exam schedule), if mammo exam, enter key opens negative mammo, and automatically selects next exam with exam is approved. If PenRad integrated with Hughes Risk System, tap the button to review report.

PRINTING AND ARCHIVAL Added option to remove the dependencies of Microsoft Word; printing, formatting, and PDF generation. PDF can be stored in database for immediate retrieval, and if desired sent to; PACS, EMR, and patient portal.

RECALL DATE Added option to automatically compute and include the recall date following the recall type and interval statement to aid in compliance where regulations require more than “A mammogram in 1 year is recommended”.

RECALL/REMINDER LETTERS Added ability to right click on patient name on print list to access various functions like preview of letter. Added option to produce “immediate” follow up recall letters (x) number of days after exam, if the exam is not resolved, or patient has no appointment or order within (x) days, or currently does not have an exam on worklist. Expanded “smarts” not to create recall/reminder letter if patient has an order or appointment within (x) days of recall date, and then create letter if scheduled order or appointment was not fulfilled. The AutoSelect recall/reminder letters option automatically sequentially sends letters to patients, reducing possible liability.

REGISTRY Added NMDB 3.0 report.

RESOLVE Added ability to draw from a common custom list the reason for exam resolution. Added option to AutoResolve screening mammogram with BI-RADS0 when followed diagnostic MG or US exam within 10 days. Added option to allow other than master user and/or radiologist to resolve exams.

RESOURCE VIEW ONLY OPTION Added option for a radiologist’s resource only screen. Provides preview of; previous reports, patient medical/risk items and values, and offers PeerView capabilities. When narrative report generation is other than PenRad. Resource screen can be synchronized with softcopy. Typically tracking is provided by AutoReader.

SAVE LAST USED LOCATIONS Ability when opening preview screens for help, exams, clinical summary, and application window size and monitor location by logged in user, and by the workstation.

SCHEDULE Added hover over patient name to show complete contents of grid, including tablet passcode. Modified status change to allow “complete” to be toggled to “complete held” and back. Saves as a hold to show surgeons. Will not be printed, or removed from schedule. Added Density column to display last known breast density. Added Right click on patient name for assignment of; memo/color, radiologist, and direct access to patient record. Also, short-cut to create new exam, and exam info selection to view individual exams incorporated in study, plus referring physician contact info.

SCREEN SCALING Expanded scaling to facilitate higher resolution monitors and tablets. Added ability to change on the fly display area used admin reports.

SEND TO PACS Added option to automatically send history sheet or custom form to PACS as exam is added to schedule. Offers radiologist ability to view during interpretation where PenRad is used for tracking only. Added option to automatically send PDF of completed exam and patient letter, and history sheet or custom form to PACS.

SOFTCOPY SYNCHRONIZATION AND AUTOMATION Added various options to format synchronization messages for dissimilar systems. Added options to send message to PACS as exam is approved (PACS work list can indicate study read). Also separate message as exam is committed with screening or follow-up recall, so images can be purged, leaving images for returning patients on viewer.

ULTRASOUND IMAGING Expanded support for up to 20 separate modalities. Added ability to specify scanning method and targeted or regions scanned, macros, and automatically transfer to the ultrasound exam for radiologist.

WINDOWS AND LDAP LOGIN Added LDAP authentication support.

*Download this information below by clicking on the “Download PenTip”. If you would like to learn more about the PenRad/PenTrac Upgrade, contact us today!